Is This Necrosis or Possible Exposure? (Photo)

Hi, Had BA 2 y ago 450 over muscle.Few months ago some big plump with drainage appeared in my left breast.I was diagnosed with capsular contracture and possible implant exposure.2.5 months ago both implant were removed and about 2 weeks ago new implants were placed(550cc silicone mentor over muscle).My PS is not telling me what is the problem,I was given some support tape and told to wait.I feel something very wrong happening.I'm suffering for about 1 year with implants story ...

Doctor Answers (9)

Is This Necrosis or Possible Exposure?

+2

Dear Yas,

It is hard to tell from your photos, but to my eye, this does not look like an infection.  You may, however have some tissue necrosis.  Whether or not this leads to implant exposure depends on the thickness of the tissue and if that tissue is alive underneath.  This is most likely a pressure phenomenon.  I agree with putting the implant in a 'fresh' pocket, but if it is above or below the muscle, that doesn't really matter in this case.  The implant would be having the same pressure issue as it is now if he had gone underneath the muscle.  At this point, I agree with waiting.  If the tissue is dead all the way through, then the tissue will need to be removed and likely implant removed as well.  If you have any conditions that can lead to low blood flow to the tissues, such as diabetes, or smoking, I would manage the blood sugars very carefully or stop smoking.  In the mean time, support the area in a soft bra to take some tension off of the area and have close follow up with your PS.  If redness, heat, and drainage start expanding from the area, then it is definitely time to remove the implant.

Best Wishes,

Pablo Prichard, MD


Phoenix Plastic Surgeon
5.0 out of 5 stars 24 reviews

Is This Necrosis or Possible Exposure?

+2

Your4 photos are not viewable as they are too dark. But with your history, I would suggest you seek a second opinion. Your history is unusual.. My second set of implants would have been placed in a fresh pocket would have been behind the muscle.

Good luck.

E. Ronald Finger, MD
Savannah Plastic Surgeon
5.0 out of 5 stars 31 reviews

Breast Enhancement Surgery

+1
I cant really tell whats going on but I do not like what I see, you obviously need to see a surgeon in person soon

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
5.0 out of 5 stars 35 reviews

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.